{"id":"F2006L01887","name":"Marine Order 31, issue 6","slug":"marine-order-31-issue-6","collection":"legislative_instrument","jurisdiction":"commonwealth","status":"repealed","isInForce":false,"actNumber":null,"makingDate":null,"administeringDepartment":null,"currentVersion":{"id":117317,"registerId":"commonwealth-F2006L01887-current","compilationNumber":null,"startDate":"2026-04-03","status":"Repealed","reasons":null,"registeredAt":null},"sections":[{"sectionNumber":"1","sectionType":"section","heading":"That the ship has been surveyed in accordance with the requirements of the Navigation Act.","content":"1 That the ship has been surveyed in accordance with the requirements of the Navigation Act.\n\n","sortOrder":0},{"sectionNumber":"2","sectionType":"section","heading":"That the survey showed that:","content":"2 That the survey showed that:\n\n2.1 the condition of the hull, machinery and equipment was in all respects satisfactory and that the vessel complied with the applicable requirements.\n\n2.2 the maximum permissible operating draught associated with each operating condition for the vessel is contained in the approved stability booklet dated............................................\n\n","sortOrder":1},{"sectionNumber":"3","sectionType":"section","heading":"That an Exemption Certificate has/has not† been issued.","content":"3 That an Exemption Certificate has/has not† been issued.\n\n","sortOrder":2},{"sectionNumber":"4","sectionType":"section","heading":"Limitations on areas of operation:","content":"4 Limitations on areas of operation:\n\n………………………………………..……………….………………………………………………………………\n\n| † Delete as appropriate |\n| ----------------------- |\n\nThis certificate is valid until ................................. subject to surveys in accordance with the Navigation Act\n\nIssued at .................................................................................…………………………………………..\n\n(Place of issue of certificate)\n\n| .....................................(Date of issue) | ………………….....................................................(Signature of authorised official issuing the certificate) |\n| ---------------------------------------------------- | ---------------------------------------------------------------------------------------------------------------------- |\n\nEndorsement to extend the validity of the certificate for a period of grace\n\nThis certificate shall, in accordance with the Navigation Act, be accepted as valid until ................\n\n| Signed: ............................................................................(Signature of authorised official) | Place: ................................. ............................Date: .............................................................. |\n| ---------------------------------------------------------------------------------------------------------------------- | ----------------------------------------------------------------------------------------------------------------------------------------- |\n\nEndorsement for periodical surveys\n\nTHIS IS TO CERTIFY THAT, at an Annual Intermediate Survey required by Marine Order 31 (Ship surveys and certification), the vessel was found to comply with the relevant requirements:\n\n| Hull, structure, machinery and associated equipment                                                                                           | Radio equipment                                                                                                                               | Lifesaving appliances, fire safety systems, navigational and other equipment                                                                  |\n| --------------------------------------------------------------------------------------------------------------------------------------------- | --------------------------------------------------------------------------------------------------------------------------------------------- | --------------------------------------------------------------------------------------------------------------------------------------------- |\n| First annual surveySigned..........................…….….......(signature of authorized official)Place...........……........Date.......…....    | First annual surveySigned..........................…….….......(signature of authorized official)Place...........……........Date.......…....    | First annual surveySigned..........................…….….......(signature of authorized official)Place...........……........Date.......…....    |\n| Second annual surveySigned..……...................................(signature of authorized official)Place......……............Date....…........ | Second annual surveySigned..……...................................(signature of authorized official)Place......……............Date....…........ | Second annual surveySigned..……...................................(signature of authorized official)Place......……............Date....…........ |\n| Third annual surveySigned..……...................................(signature of authorized official)Place......……............Date....…........  | Third annual surveySigned..……...................................(signature of authorized official)Place......……............Date....…........  | Third annual surveySigned..……...................................(signature of authorized official)Place......……............Date....…........  |\n| Fourth annual surveySigned..……...................................(signature of authorized official)Place......……............Date....…........ | Fourth annual surveySigned..……...................................(signature of authorized official)Place......……............Date....…........ | Fourth annual surveySigned..……...................................(signature of authorized official)Place......……............Date....…........ |\n\nEndorsement for inspections of the outside of the ship’s bottom\n\nTHIS IS TO CERTIFY that, at an inspection required by Marine Order 31 (Ship surveys and certification), the ship was found to comply with the relevant requirements of Marine Orders/USL Code.\n\n| First inspection:Signed:.............................................................................(Signature of authorised official)Place:..................................... Date: ................ | Second inspection:Signed:..............................................................................(Signature of authorised official)Place:..................................... Date: ................ |\n| --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |\n\n  \n\nRECORD OF EQUIPMENT\n\n(FORM FF)\n\nThis Record shall be permanently attached to the Certificate of Survey for a Fishing Vessel\n\n1 Particulars of vessel\n\nName of vessel ........................................................................................................\n\nDistinctive number or letters .....................................................................................\n\nPort of registry..........................................................................................................\n\nLength....................................................................................................................\n\n2 Details of life-saving appliances\n\n<table cellspacing=\"0\" cellpadding=\"0\" style=\"margin-right:auto; margin-left:auto; border:0.75pt solid #000000; border-collapse:collapse\"><tbody><tr><td style=\"width:343.7pt; border-bottom:0.75pt solid #000000; padding-right:5.35pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:6pt; margin-bottom:6pt; font-size:8pt\"><span>1</span><span style=\"width:19.05pt; display:inline-block\"> </span><span>Total number of persons for which life-saving appliances are provided</span></p></td><td colspan=\"2\" style=\"width:131.1pt; border-bottom:0.75pt solid #000000; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top\"><p style=\"margin-top:6pt; margin-bottom:6pt; font-size:8pt\"><span>.....................................</span></p></td></tr><tr><td style=\"width:343.7pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:3pt; margin-bottom:3pt; font-size:8pt\"><span></span></p></td><td style=\"width:60.2pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top\"><p style=\"margin-top:3pt; margin-bottom:3pt; text-align:center; font-size:8pt\"><span>Port side</span></p></td><td style=\"width:60.2pt; border-left:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:3pt; margin-bottom:3pt; text-align:center; font-size:8pt\"><span>Starboard side</span></p></td></tr><tr><td style=\"width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:6pt; font-size:8pt\"><span>2</span><span style=\"width:19.05pt; display:inline-block\"> </span><span>Total number of lifeboats</span></p></td><td style=\"width:60.2pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top\"><p style=\"margin-top:6pt; text-align:center; font-size:8pt\"><span>.....................</span></p></td><td style=\"width:60.2pt; border-left:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:6pt; text-align:center; font-size:8pt\"><span>.....................</span></p></td></tr><tr><td style=\"width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:6pt; font-size:8pt\"><span>2.1</span><span style=\"width:13.05pt; display:inline-block\"> </span><span>Total number of persons accommodated by them</span></p></td><td style=\"width:60.2pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top\"><p style=\"margin-top:6pt; text-align:center; font-size:8pt\"><span>.....................</span></p></td><td style=\"width:60.2pt; border-left:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:6pt; text-align:center; font-size:8pt\"><span>.....................</span></p></td></tr><tr><td style=\"width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:6pt; font-size:8pt\"><span>2.2</span><span style=\"width:13.05pt; display:inline-block\"> </span><span>Number of partially enclosed lifeboats</span></p></td><td style=\"width:60.2pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top\"><p style=\"margin-top:6pt; text-align:center; font-size:8pt\"><span>......................</span></p></td><td style=\"width:60.2pt; border-left:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:6pt; text-align:center; font-size:8pt\"><span>.....................</span></p></td></tr><tr><td style=\"width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:6pt; font-size:8pt\"><span>2.3</span><span style=\"width:13.05pt; display:inline-block\"> </span><span>Number of totally enclosed lifeboats</span></p></td><td style=\"width:60.2pt; padding-right:5.35pt; padding-left:5.35pt; vertical-align:top\"><p style=\"margin-top:6pt; text-align:center; font-size:8pt\"><span>......................</span></p></td><td style=\"width:60.2pt; border-left:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:6pt; text-align:center; font-size:8pt\"><span>.....................</span></p></td></tr><tr><td style=\"width:343.7pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:6pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt\"><span>3</span><span style=\"width:19.05pt; text-indent:0pt; display:inline-block\"> </span><span>Number of rescue boats</span></p></td><td colspan=\"2\" style=\"width:131.05pt; border-top:0.75pt solid #000000; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top\"><p style=\"margin-top:6pt; font-size:8pt\"><span>........................................………….......</span></p></td></tr><tr><td style=\"width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:3pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt\"><span>3.1</span><span style=\"width:13.05pt; text-indent:0pt; display:inline-block\"> </span><span>Number of boats which are included in the total lifeboats shown above</span></p></td><td colspan=\"2\" style=\"width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top\"><p style=\"margin-top:6pt; font-size:8pt\"><span>..............................................………….</span></p></td></tr><tr><td style=\"width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:6pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt\"><span>4</span><span style=\"width:19.05pt; text-indent:0pt; display:inline-block\"> </span><span>Liferafts</span></p></td><td colspan=\"2\" style=\"width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top\"><p style=\"margin-top:6pt; font-size:8pt\"><span></span></p></td></tr><tr><td style=\"width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:3pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt\"><span>4.1</span><span style=\"width:13.05pt; text-indent:0pt; display:inline-block\"> </span><span>Those for which approved launching appliances are required</span></p></td><td colspan=\"2\" style=\"width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top\"><p style=\"margin-top:3pt; font-size:8pt\"><span></span></p></td></tr><tr><td style=\"width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:3pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt\"><span>4.1.1</span><span style=\"width:7.05pt; text-indent:0pt; display:inline-block\"> </span><span>Number of liferafts</span></p></td><td colspan=\"2\" style=\"width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top\"><p style=\"margin-top:3pt; font-size:8pt\"><span>..............................................………….</span></p></td></tr><tr><td style=\"width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:3pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt\"><span>4.1.2</span><span style=\"width:7.05pt; text-indent:0pt; display:inline-block\"> </span><span>Number of persons accommodated by them</span></p></td><td colspan=\"2\" style=\"width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top\"><p style=\"margin-top:3pt; font-size:8pt\"><span>..............................................………….</span></p></td></tr><tr><td style=\"width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:3pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt\"><span>4.2</span><span style=\"width:13.05pt; text-indent:0pt; display:inline-block\"> </span><span>Those for which approved launching appliances are not required</span></p></td><td colspan=\"2\" style=\"width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top\"><p style=\"margin-top:3pt; font-size:8pt\"><span></span></p></td></tr><tr><td style=\"width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:3pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt\"><span>4.2.1</span><span style=\"width:7.05pt; text-indent:0pt; display:inline-block\"> </span><span>Number of liferafts</span></p></td><td colspan=\"2\" style=\"width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top\"><p style=\"margin-top:3pt; font-size:8pt\"><span>..............................................………….</span></p></td></tr><tr><td style=\"width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:3pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt\"><span>4.2.2</span><span style=\"width:7.05pt; text-indent:0pt; display:inline-block\"> </span><span>Number of persons accommodated by them</span></p></td><td colspan=\"2\" style=\"width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top\"><p style=\"margin-top:3pt; font-size:8pt\"><span>..............................................………….</span></p></td></tr><tr><td style=\"width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:6pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt\"><span>5</span><span style=\"width:19.05pt; text-indent:0pt; display:inline-block\"> </span><span>Number of lifebuoys</span></p></td><td colspan=\"2\" style=\"width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top\"><p style=\"margin-top:6pt; font-size:8pt\"><span>..............................................………….</span></p></td></tr><tr><td style=\"width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:6pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt\"><span>6</span><span style=\"width:19.05pt; text-indent:0pt; display:inline-block\"> </span><span>Number of lifejackets</span></p></td><td colspan=\"2\" style=\"width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top\"><p style=\"margin-top:6pt; font-size:8pt\"><span>..............................................………….</span></p></td></tr><tr><td style=\"width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:6pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt\"><span>7</span><span style=\"width:19.05pt; text-indent:0pt; display:inline-block\"> </span><span>Immersion suits</span></p></td><td colspan=\"2\" style=\"width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top\"><p style=\"margin-top:6pt; font-size:8pt\"><span></span></p></td></tr><tr><td style=\"width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:3pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt\"><span>7.1</span><span style=\"width:13.05pt; text-indent:0pt; display:inline-block\"> </span><span>Total number</span></p></td><td colspan=\"2\" style=\"width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top\"><p style=\"margin-top:3pt; font-size:8pt\"><span>..............................................………….</span></p></td></tr><tr><td style=\"width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:3pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt\"><span>7.2</span><span style=\"width:13.05pt; text-indent:0pt; display:inline-block\"> </span><span>Number of suits complying with the requirements of lifejackets</span></p></td><td colspan=\"2\" style=\"width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top\"><p style=\"margin-top:3pt; font-size:8pt\"><span>..............................................………….</span></p></td></tr><tr><td style=\"width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:6pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt\"><span>8</span><span style=\"width:19.05pt; text-indent:0pt; display:inline-block\"> </span><span>Number of thermal protective aids, excluding those carried as part of the equipment of survival craft and rescue boats</span></p></td><td colspan=\"2\" style=\"width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top\"><p style=\"font-size:8pt\"><span>......................................………….........</span></p></td></tr><tr><td style=\"width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:6pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt\"><span>9</span><span style=\"width:19.05pt; text-indent:0pt; display:inline-block\"> </span><span>Radio installations used in life-saving appliances</span></p></td><td colspan=\"2\" style=\"width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top\"><p style=\"margin-top:6pt; font-size:8pt\"><span></span></p></td></tr><tr><td style=\"width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:3pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt\"><span>9.1</span><span style=\"width:13.05pt; text-indent:0pt; display:inline-block\"> </span><span>Number of search and rescue locating devices</span></p></td><td colspan=\"2\" style=\"width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top\"><p style=\"margin-top:3pt; font-size:8pt\"><span></span></p></td></tr><tr><td style=\"width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:3pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt\"><span>9.1.1</span><span style=\"width:7.05pt; text-indent:0pt; display:inline-block\"> </span><span style=\"font-family:'CG Times', serif\">Radar search and rescue transponders (SART)</span></p></td><td colspan=\"2\" style=\"width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top\"><p style=\"margin-top:3pt; font-size:8pt\"><span>......................................………….........</span></p></td></tr><tr><td style=\"width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:3pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt\"><span>9.1.2</span><span style=\"width:7.05pt; text-indent:0pt; display:inline-block\"> </span><span style=\"font-family:'CG Times', serif\">AIS search and rescue </span><span>transmitters</span><span style=\"font-family:'CG Times', serif\"> (AIS-SART)</span></p></td><td colspan=\"2\" style=\"width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top\"><p style=\"margin-top:3pt; font-size:8pt\"><span>......................................………….........</span></p></td></tr><tr><td style=\"width:343.7pt; border-right:0.75pt solid #000000; padding-right:4.97pt; padding-left:4.97pt; vertical-align:top\"><p style=\"margin-top:3pt; margin-left:35.45pt; text-indent:-35.45pt; font-size:8pt\"><span>9.2</span><span style=\"width:13.05pt; text-indent:0pt; display:inline-block\"> </span><span>Number of two-way VHF radiotelephone apparatus</span></p></td><td colspan=\"2\" style=\"width:131.05pt; padding-right:4.97pt; padding-left:5.35pt; vertical-align:top\"><p style=\"margin-top:3pt; font-size:8pt\"><span>..............................................………….</span></p></td></tr></tbody></table>\n```\n\n3 Details of radio facilities\n\n| Item                                                      | Actual provision                                                                        |\n| --------------------------------------------------------- | --------------------------------------------------------------------------------------- |\n| 1 Primary system                                          |                                                                                         |\n| 1.1 VHF radio installation                                |                                                                                         |\n| 1.1.1 DSC encoder                                         | ...............................................................…………..                   |\n| 1.1.2 DSC watch receiver                                  | ...............................................................…………..                   |\n| 1.1.3 Radiotelephony                                      | ...............................................................…………..                   |\n| 1.2 MF radio installation                                 |                                                                                         |\n| 1.2.1 DSC encoder                                         | ...............................................................…………..                   |\n| 1.2.2 DSC watch receiver                                  | ...............................................................…………..                   |\n| 1.2.3 Radiotelephony                                      | ...............................................................…………..                   |\n| 1.3 MF/HF radio installation                              |                                                                                         |\n| 1.3.1 DSC encoder                                         | ...............................................................…………..                   |\n| 1.3.2 DSC watch receiver                                  | ...............................................................…………..                   |\n| 1.3.3 Radiotelephony                                      | ...............................................................…………..                   |\n| 1.3.4 Direct-printing radiotelegraphy                     | ...............................................................…………..                   |\n| 1.4 INMARSAT ship earth station                           | ...............................................................…………..                   |\n| 2 Secondary means of alerting                             | ...............................................................…………..                   |\n| 3 Facilities for reception of maritime safety information |                                                                                         |\n| 3.1 EGC receiver                                          | ………….................................................................                   |\n| 3.2 HF direct-printing radiotelegraph receiver            | .............…………....................................................                   |\n| 4 Satellite EPIRB                                         |                                                                                         |\n| 4.1 COSPAS-SARSAT                                         | .......................................…………………........................................  |\n| 4.2 INMARSAT                                              | ...................................................................…………………............  |\n| 5 VHF EPIRB                                               | ................................................................................………………  |\n| 6 Ship’s search and rescue locating device                |                                                                                         |\n| 6.1 Radar search and rescue transponder (SART)            | ................................................................................………………. |\n| 6.2 AIS search and rescue transmitter (AIS-SART)          | ................................................................................………………. |\n\n4 Methods used to ensure availability of radio facilities (Regulation IX/14)\n\n4.1 Duplication of equipment ...............................................................................………………….\n\n4.2 Shore-based maintenance ...............................................................................………………….\n\n4.3 At-sea maintenance capability ..........................................................................………………...\n\n  \n","sortOrder":3},{"sectionNumber":"5","sectionType":"section","heading":"Details of navigational systems and equipment","content":"5 Details of navigational systems and equipment\n\n| Item                                                                                               | Actual provision                                                      |\n| -------------------------------------------------------------------------------------------------- | --------------------------------------------------------------------- |\n| 1.1 Standard magnetic compass                                                                      | .......................................................………….......... |\n| 1.2 Spare magnetic compass                                                                         | ...............................................................………….. |\n| 1.3 Gyro compass                                                                                   | ...............................................................………….. |\n| 1.4 Gyro compass heading repeater                                                                  | ...............................................................………….. |\n| 1.5 Gyro compass bearing repeater                                                                  | ...............................................................………….. |\n| 1.6 Heading or track control system                                                                | ...............................................................………….. |\n| 1.7 Pelorus or compass bearing device                                                              | ...............................................................………….. |\n| 1.8 Means of correcting headings and bearings                                                      | ...............................................................………….. |\n| 1.9 Transmitting heading device (THD)                                                              | ...............................................................………….. |\n| 2.1 Nautical charts/Electronic chart display and information system (ECDIS)†                       | ...............................................................………….. |\n| 2.2 Back up arrangements for ECDIS                                                                 | ...............................................................………….. |\n| 2.3 Nautical publications                                                                          | ...............................................................………….. |\n| 2.4 Back up arrangements for electronic nautical publications                                      | ...............................................................………….. |\n| 3.1 Receiver for a global navigation satellite system/terrestrial radionavigation system †         | ...............................................................………….. |\n| 3.2 9 GHz radar                                                                                    | ...............................................................………….. |\n| 3.3 Second radar (3 GHz/9 GHz†)                                                                    | ...............................................................………….. |\n| 3.4 Automatic radar plotting aid (ARPA)                                                            | ...............................................................………….. |\n| 3.5 Automatic tracking aid                                                                         | ...............................................................………….. |\n| 3.6 Second automatic tracking aid                                                                  | ...............................................................………….. |\n| 3.7 Electronic plotting aid                                                                        | ...............................................................………….. |\n| 4 Automatic identification system (AIS)                                                            | ...............................................................………….. |\n| 5.1 Voyage data recorder (VDR)                                                                     | ...............................................................………….. |\n| 5.2 Simplified voyage data recorder (S-VDR)                                                        |                                                                       |\n| 6.1 Speed and distance measuring device (through the water)                                        | ...............................................................………….. |\n| 6.2 Speed and distance measuring device (over the ground in the forward and athwartship direction) | …………................................................................. |\n| 7 Echo sounding device                                                                             | ..............…………................................................... |\n| 8.1 Rudder, propeller, thrust, pitch and operational mode indicator                                | .............................………….................................... |\n| 8.2 Rate of turn indicator                                                                         | ............................................…………..................... |\n| 9 Sound reception system                                                                           | ...........................................................…………...... |\n| 10 Telephone to emergency steering position                                                        | ...............................................................………….. |\n| 11 Daylight signalling lamp                                                                        | ...............................................................………….. |\n| 12 Radar reflector                                                                                 | ...............................................................………….. |\n| 13 International Code of Signals                                                                   | ...............................................................………….. |\n| 14 IAMSAR Manual, Volume III                                                                       |                                                                       |\n| 15 Bridge navigational watch alarm system (BNWAS)                                                  | ...............................................................………….. |\n\n† Delete as appropriate\n\nTHIS IS TO CERTIFY that this record is correct in all respects.\n\nIssued at ............................................................................................................……………………….  \n(Place of issue of the Record)\n\n| ..............................................(Date of issue) | ……………...........................................................(Signature of duly authorised official issuing the Record) |\n| ------------------------------------------------------------- | -------------------------------------------------------------------------------------------------------------------------- |\n\n  \n\n| Form MO-31/12 |\n\nEXEMPTION CERTIFICATE\n\nIssued under the provisions of the NAVIGATION ACT 1912  \nby the AUSTRALIAN MARITIME SAFETY AUTHORITY\n\n## Particulars of ship Particulars of ship\n\n#### Particulars of ship\n\n| Name of ship | Distinctive number or letters | Port of registry | Gross tonnage | IMO Number |\n| ------------ | ----------------------------- | ---------------- | ------------- | ---------- |\n|              |                               |                  |               |            |\n\nTHIS IS TO CERTIFY:\n\nThat the ship is, under the authority conferred by the Navigation Act, exempted from the following requirements ...................................................................................................................................................\n\nConditions, if any, on which the Exemption Certificate is granted:\n\n...................................................................................................................................................\n\nVoyages, if any, for which the Exemption Certificate is granted:\n\n...................................................................................................................................................\n\nThis certificate is valid until................subject to the...................................................................Certificate, to which a copy of this certificate is attached, remaining valid.\n\nIssued at ..............................................................................................................  \n(Place of issue of the Record)\n\n| ..............................................(Date of issue) | ..........................................................(Signature of duly authorised official issuing the Record) |\n| ------------------------------------------------------------- | -------------------------------------------------------------------------------------------------------------------- |\n\nEndorsement to extend the certificate if valid for less than 5 years, or where the renewal survey has been completed and the new certificate is not yet available.\n\nThis certificate shall be accepted as valid until ..........................................................\n\n| Signed: ...........................................................................(Signature of authorised official) | Place: ................................. ............................Date: .............................................................. |\n| --------------------------------------------------------------------------------------------------------------------- | ----------------------------------------------------------------------------------------------------------------------------------------- |\n\nEndorsement to extend the validity of the certificate until reaching the port of survey or for a period of grace\n\nThis certificate shall be accepted as valid until ..........................................................\n\n| Signed: ..............................................................................(Signature of authorised official) | Place: ................................. ............................Date: .............................................................. |\n| ------------------------------------------------------------------------------------------------------------------------ | ----------------------------------------------------------------------------------------------------------------------------------------- |\n\n  \n\n| Form MO-31/13 |\n\nNOTICE UNDER SECTION 190A OF THE NAVIGATION ACT 1912 OF\n\nALTERATION TO HULL etc.\n\n<table cellspacing=\"0\" cellpadding=\"0\" style=\"border-collapse:collapse\"><tbody><tr><td style=\"width:237.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p><span style=\"font-family:'CG Times', serif; font-weight:bold\">To: ..................................................</span></p><p style=\"text-align:center; font-size:10pt\"><span style=\"font-family:'CG Times', serif; font-style:italic\">(Prescribed person)</span></p></td><td style=\"width:237.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p><span style=\"font-family:'CG Times', serif; font-weight:bold\"></span></p></td></tr><tr><td style=\"width:237.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p style=\"margin-top:6pt\"><span style=\"font-family:'CG Times', serif; font-style:italic\">Name of ship:</span></p></td><td style=\"width:237.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p style=\"margin-top:6pt\"><span style=\"font-family:'CG Times', serif; font-style:italic\">Home port or port of registry:</span></p></td></tr><tr><td style=\"width:237.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p style=\"margin-top:6pt\"><span style=\"font-family:'CG Times', serif; font-style:italic\">IMO Number:</span></p></td><td style=\"width:237.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p style=\"margin-top:6pt\"><span style=\"font-family:'CG Times', serif; font-style:italic\">Gross tonnage</span><span style=\"font-family:'CG Times', serif; font-weight:bold\">:</span></p></td></tr><tr><td style=\"width:237.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p style=\"margin-top:6pt\"><span style=\"font-family:'CG Times', serif; font-style:italic\"></span></p></td><td style=\"width:237.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p style=\"margin-top:6pt\"><span style=\"font-family:'CG Times', serif; font-weight:bold\"></span></p></td></tr><tr><td style=\"width:237.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p style=\"margin-top:6pt; margin-bottom:12pt\"><span style=\"font-family:'CG Times', serif; font-style:italic\">Name &amp; address of owner or operator:</span></p></td><td style=\"width:237.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p style=\"margin-top:6pt; margin-bottom:12pt\"><span style=\"font-family:'CG Times', serif; font-weight:bold\"></span></p></td></tr><tr><td style=\"width:237.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p style=\"margin-top:6pt; margin-bottom:12pt\"><span style=\"font-family:'CG Times', serif; font-style:italic\">Name &amp; address of Master:</span></p></td><td style=\"width:237.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p style=\"margin-top:6pt; margin-bottom:12pt\"><span style=\"font-family:'CG Times', serif; font-weight:bold\"></span></p></td></tr><tr><td style=\"width:237.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p style=\"margin-top:6pt\"><span style=\"font-family:'CG Times', serif; font-style:italic\">Name of Classification Society:</span></p></td><td style=\"width:237.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p style=\"margin-top:6pt\"><span style=\"font-family:'CG Times', serif; font-weight:bold\"></span></p></td></tr><tr><td colspan=\"2\" style=\"width:485.3pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p style=\"text-align:center\"><span style=\"font-family:'CG Times', serif\"></span></p></td></tr><tr><td colspan=\"2\" style=\"width:485.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p style=\"text-align:center\"><span style=\"font-family:'CG Times', serif\">NATURE OF PARTICULARS OF ALTERATION OR REPLACEMENT</span></p></td></tr><tr><td style=\"width:237.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p style=\"margin-top:156pt\"><span style=\"font-family:'CG Times', serif; font-weight:bold\"></span></p></td><td style=\"width:237.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p style=\"margin-top:156pt; text-align:right\"><span style=\"font-family:'CG Times', serif; font-weight:bold\"></span></p></td></tr><tr><td style=\"width:237.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p><span style=\"font-family:'CG Times', serif; font-weight:bold\">..................................................</span></p><p style=\"font-size:10pt\"><span style=\"font-family:'CG Times', serif; font-style:italic\">Signature of owner, master or agent</span></p></td><td style=\"width:237.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p style=\"text-align:right\"><span style=\"font-family:'CG Times', serif; font-weight:bold\">...........................</span></p><p style=\"text-align:right; font-size:10pt\"><span style=\"font-family:'CG Times', serif; font-style:italic\">Date</span></p></td></tr></tbody></table>\n```\n\n  \n\n| Form MO-31/14 |\n\nINCIDENT ALERT\n\n<table cellspacing=\"0\" cellpadding=\"0\" style=\"border-collapse:collapse\"><tbody><tr><td colspan=\"7\" style=\"width:237.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:6pt\"><span style=\"font-weight:bold\">SHIP DETAILS</span></p></td><td colspan=\"10\" style=\"width:237.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:6pt\"><span style=\"font-weight:bold\"></span></p></td></tr><tr><td colspan=\"7\" style=\"width:237.25pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:18pt\"><span>Ship's name</span></p></td><td colspan=\"10\" style=\"width:237.25pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:18pt\"><span></span></p></td></tr><tr><td colspan=\"7\" style=\"width:237.25pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>IMO number</span></p></td><td colspan=\"10\" style=\"width:237.25pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>Flag</span></p></td></tr><tr><td colspan=\"7\" style=\"width:237.25pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>Call sign</span></p></td><td colspan=\"10\" style=\"width:237.25pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>Satcom number</span></p></td></tr><tr><td colspan=\"7\" style=\"width:237.25pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>Master</span></p></td><td colspan=\"10\" style=\"width:237.25pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span></span></p></td></tr><tr><td colspan=\"7\" style=\"width:237.25pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>Gross tonnage</span></p></td><td colspan=\"10\" style=\"width:237.25pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>No. of persons on board</span></p></td></tr><tr><td colspan=\"7\" style=\"width:237.25pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>Class society</span></p></td><td colspan=\"10\" style=\"width:237.25pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span></span></p></td></tr><tr><td colspan=\"7\" style=\"width:237.25pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>Propulsion</span></p></td><td colspan=\"10\" style=\"width:237.25pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>IOPP certificate date of issue</span></p></td></tr><tr><td colspan=\"3\" style=\"width:82.75pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:6pt\"><span>Ship type</span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:6pt\"><span></span></p></td><td style=\"width:51.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:6pt\"><span></span></p></td><td colspan=\"2\" style=\"width:57.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:6pt\"><span></span></p></td><td colspan=\"2\" style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:6pt\"><span></span></p></td><td colspan=\"3\" style=\"width:51.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:6pt\"><span></span></p></td><td style=\"width:51.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:6pt\"><span></span></p></td><td style=\"width:51.55pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:6pt\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:51.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Container</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:51.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Tanker</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"3\" style=\"width:68.6pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Bulk Carrier</span></p></td><td colspan=\"2\" style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:40.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Tug</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:51.55pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>OSV</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:51.55pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Other</span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:51.55pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:51.55pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"2\" style=\"width:57.25pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"2\" style=\"width:6.2pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"3\" style=\"width:51.55pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:51.55pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:51.55pt; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td></tr><tr><td colspan=\"7\" style=\"width:237.25pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:48pt\"><span>Operator's name and address</span></p></td><td colspan=\"10\" style=\"width:237.25pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:48pt\"><span></span></p></td></tr><tr><td colspan=\"7\" style=\"width:237.25pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:18pt\"><span>Responsible Officer (ISM designated person)</span></p></td><td colspan=\"10\" style=\"width:237.25pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:18pt\"><span>Contact number</span></p></td></tr><tr><td colspan=\"7\" style=\"width:237.25pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:30pt\"><span>Agents and P&amp;I Club</span></p></td><td colspan=\"10\" style=\"width:237.25pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:30pt\"><span></span></p></td></tr><tr><td colspan=\"7\" style=\"width:237.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:6pt\"><span style=\"font-weight:bold\">INCIDENT DETAILS</span></p></td><td colspan=\"10\" style=\"width:237.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:6pt\"><span style=\"font-weight:bold\"></span></p></td></tr><tr><td colspan=\"7\" style=\"width:237.25pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>Voyage</span></p><p class=\"FootnoteText\" style=\"margin-top:12pt; margin-bottom:12pt\"><span>From</span></p></td><td colspan=\"10\" style=\"width:237.25pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span></span></p><p class=\"FootnoteText\" style=\"margin-top:12pt; margin-bottom:12pt\"><span>To</span></p></td></tr><tr><td colspan=\"7\" style=\"width:237.25pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>Ship's location</span><br><span>(eg port, at sea, lat, long)</span></p></td><td colspan=\"10\" style=\"width:237.25pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span></span></p></td></tr><tr><td colspan=\"7\" style=\"width:237.25pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>Location on ship where</span><br><span>incident occurred</span></p></td><td colspan=\"10\" style=\"width:237.25pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span></span></p></td></tr><tr><td colspan=\"12\" style=\"width:322.3pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>Date &amp; time</span><br><span>of incident</span><span style=\"width:28.96pt; display:inline-block\"> </span><span style=\"width:36pt; display:inline-block\"></span><span style=\"width:36pt; display:inline-block\"></span><span>/</span><span style=\"width:33.22pt; display:inline-block\"> </span><span style=\"width:36pt; display:inline-block\"></span><span>/</span><span style=\"width:33.22pt; display:inline-block\"> </span><span style=\"width:36pt; display:inline-block\"></span><span>am/pm</span></p></td><td colspan=\"5\" style=\"width:152.2pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>No. of persons</span><br><span>involved</span></p></td></tr><tr style=\"height:0pt\"><td style=\"width:14.2pt\"></td><td style=\"width:17pt\"></td><td style=\"width:62.35pt\"></td><td style=\"width:17pt\"></td><td style=\"width:62.35pt\"></td><td style=\"width:17pt\"></td><td style=\"width:58.15pt\"></td><td style=\"width:9.9pt\"></td><td style=\"width:11.35pt\"></td><td style=\"width:5.65pt\"></td><td style=\"width:11.35pt\"></td><td style=\"width:46.8pt\"></td><td style=\"width:4.25pt\"></td><td style=\"width:17pt\"></td><td style=\"width:62.35pt\"></td><td style=\"width:17pt\"></td><td style=\"width:62.4pt\"></td></tr></tbody></table>\n```\n\n  \n\n<table cellspacing=\"0\" cellpadding=\"0\" style=\"border-collapse:collapse\"><tbody><tr><td colspan=\"3\" style=\"width:244.35pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:6pt\"><span style=\"font-weight:bold\">Nature of incident</span></p></td><td style=\"width:6.2pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:213.15pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:213.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Collision</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:213.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>MARPOL Ship Defects</span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:213.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"2\" style=\"width:213.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:213.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Grounding</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:213.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Serious Personal Injury</span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:213.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"2\" style=\"width:213.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:213.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Fire</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:213.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Death</span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:213.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"2\" style=\"width:213.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:213.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Structural Failure</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:213.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Disappearance</span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:213.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"2\" style=\"width:213.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:213.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Flooding</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:213.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Loss</span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:213.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"2\" style=\"width:213.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:213.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Machinery failure</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:213.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Presumed Lost</span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:213.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"2\" style=\"width:213.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:213.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Cargo Gear</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:213.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Close Quarters Situation</span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:213.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"2\" style=\"width:213.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:213.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Pilotage</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:213.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Births</span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:213.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"2\" style=\"width:213.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:213.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Dangerous Goods</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:213.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Other (specify)</span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:213.15pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"2\" style=\"width:213.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td></tr><tr><td colspan=\"6\" style=\"width:485.3pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span style=\"font-weight:bold\">DESCRIPTION OF INCIDENT/DAMAGE</span><br><span style=\"font-weight:bold\">Note: If incident occurred under pilotage, include name of pilot</span></p></td></tr><tr><td style=\"width:3.4pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; border-bottom:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; border-bottom:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; border-bottom:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; border-bottom:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; border-bottom:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; border-bottom:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; border-bottom:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; border-bottom:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; border-bottom:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; border-bottom:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; border-bottom:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; border-bottom:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; border-bottom:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; border-bottom:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; border-bottom:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; border-bottom:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; border-bottom:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; border-bottom:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td colspan=\"3\" style=\"width:244.35pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:6pt; margin-bottom:6pt\"><span style=\"font-weight:bold\">OTHER RELEVANT INFORMATION</span></p></td><td colspan=\"2\" style=\"width:204.65pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:6pt; margin-bottom:6pt\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:6pt; margin-bottom:6pt\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:230.15pt; border-top:0.75pt dotted #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:204.65pt; border-top:0.75pt dotted #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:14.7pt; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr style=\"height:0pt\"><td style=\"width:14.2pt\"></td><td style=\"width:17pt\"></td><td style=\"width:223.95pt\"></td><td style=\"width:17pt\"></td><td style=\"width:198.45pt\"></td><td style=\"width:25.5pt\"></td></tr></tbody></table>\n```\n\n  \n\n| Form MO-31/15 |\n\nINCIDENT REPORT\n\n<table cellspacing=\"0\" cellpadding=\"0\" style=\"border-collapse:collapse\"><tbody><tr><td colspan=\"7\" style=\"width:237.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:6pt\"><span style=\"font-weight:bold\">SHIP DETAILS</span></p></td><td style=\"width:237.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:6pt\"><span style=\"font-weight:bold\"></span></p></td></tr><tr><td colspan=\"7\" style=\"width:237.25pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:18pt\"><span>Ship's name</span></p></td><td style=\"width:237.25pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:18pt\"><span></span></p></td></tr><tr><td colspan=\"7\" style=\"width:237.25pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>IMO number</span></p></td><td style=\"width:237.25pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>Flag</span></p></td></tr><tr><td colspan=\"7\" style=\"width:237.25pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>Call sign</span></p></td><td style=\"width:237.25pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>Satcom number</span></p></td></tr><tr><td colspan=\"7\" style=\"width:237.25pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>Master</span></p></td><td style=\"width:237.25pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span></span></p></td></tr><tr><td colspan=\"7\" style=\"width:237.25pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>Gross tonnage</span></p></td><td style=\"width:237.25pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>Propulsion</span></p></td></tr><tr><td colspan=\"7\" style=\"width:237.25pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>Class society</span></p></td><td style=\"width:237.25pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span></span></p></td></tr><tr><td colspan=\"7\" style=\"width:237.25pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:48pt\"><span>Operator's name and address</span></p></td><td style=\"width:237.25pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td colspan=\"7\" style=\"width:237.25pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:30pt\"><span>Agents and P&amp;I Club</span></p></td><td style=\"width:237.25pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td colspan=\"5\" style=\"width:180.55pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:18pt\"><span>Date &amp; time of incident</span></p></td><td colspan=\"3\" style=\"width:293.95pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>Ship's location (eg port, at sea, lat, long)</span></p></td></tr><tr><td colspan=\"8\" style=\"width:485.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:6pt; margin-bottom:6pt\"><span style=\"font-weight:bold\">Part 1 - To be completed if reporting under Marine Orders Part 32</span></p></td></tr><tr><td colspan=\"5\" style=\"width:180.55pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:18pt\"><span>Person-in-charge</span></p></td><td colspan=\"3\" style=\"width:293.95pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span></span></p></td></tr><tr><td colspan=\"5\" style=\"width:180.55pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:24pt\"><span>Employer of person-in-charge</span></p></td><td colspan=\"3\" style=\"width:293.95pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:24pt\"><span></span></p></td></tr><tr><td colspan=\"5\" style=\"width:180.55pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:6pt; margin-bottom:3pt\"><span>Incident</span></p></td><td colspan=\"3\" style=\"width:293.95pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:6pt; margin-bottom:3pt\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:79.9pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Injury</span></p></td><td style=\"width:21.5pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>►</span></p></td><td colspan=\"4\" style=\"width:331.1pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>If injury, complete parts 4 - 8</span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:79.9pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:21.5pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"4\" style=\"width:331.1pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:79.9pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Gear failure</span></p></td><td style=\"width:21.5pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>►</span></p></td><td colspan=\"4\" style=\"width:331.1pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>If gear failure, complete parts 5 - 8</span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:79.9pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:21.5pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"4\" style=\"width:331.1pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:79.9pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Dangerous Goods</span></p></td><td style=\"width:21.5pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>►</span></p></td><td colspan=\"4\" style=\"width:331.1pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>If dangerous goods, complete parts 5 - 8</span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:79.9pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"3\" style=\"width:78.25pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"2\" style=\"width:274.4pt; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td></tr><tr style=\"height:0pt\"><td style=\"width:14.2pt\"></td><td style=\"width:17pt\"></td><td style=\"width:90.7pt\"></td><td style=\"width:32.3pt\"></td><td style=\"width:37.15pt\"></td><td style=\"width:19.6pt\"></td><td style=\"width:37.1pt\"></td><td style=\"width:248.1pt\"></td></tr></tbody></table>\n```\n\n  \n\n<table cellspacing=\"0\" cellpadding=\"0\" style=\"border-collapse:collapse\"><tbody><tr><td colspan=\"14\" style=\"width:485.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:6pt; margin-bottom:6pt\"><span style=\"font-weight:bold\">Part 2 - To be completed if reporting under sections 268, 269 or 417 of the </span><span style=\"font-weight:bold; font-style:italic\">Navigation Act 1912</span><span style=\"font-weight:bold\"> (other than births) or section 19 of the </span><span style=\"font-weight:bold; font-style:italic\">Transport Safety Investigation Act 2003</span></p></td></tr><tr><td colspan=\"8\" style=\"width:237.25pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>Voyage</span></p><p class=\"FootnoteText\" style=\"margin-top:12pt; margin-bottom:12pt\"><span>From</span></p></td><td colspan=\"6\" style=\"width:237.25pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span></span></p><p class=\"FootnoteText\" style=\"margin-top:12pt; margin-bottom:12pt\"><span>To</span></p></td></tr><tr><td colspan=\"7\" style=\"width:180.55pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt\"><span style=\"font-weight:bold\">Incident description</span></p></td><td colspan=\"7\" style=\"width:293.95pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"3\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Grounding</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Foundering</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Stranding</span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"3\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"2\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"3\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Collision</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Capsize</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Flooding</span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:7pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:7pt\"><span></span></p></td><td colspan=\"3\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:7pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:7pt\"><span></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:7pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:7pt\"><span></span></p></td><td colspan=\"2\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:7pt\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"3\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Fire</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Explosion</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Machinery failure</span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"3\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"2\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"3\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Structural failure</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Close Quarters</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Disappearance</span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"3\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"2\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"3\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Loss</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Presumed lost</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Injury</span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"3\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"2\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"3\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Death</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"5\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Dangerous occurrence</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:133.8pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Illness</span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"3\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"2\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"3\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span>Other (specify)</span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td><td colspan=\"2\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"3\" style=\"width:130.95pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"5\" style=\"width:133.8pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td><td colspan=\"2\" style=\"width:133.8pt; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:6pt\"><span></span></p></td></tr><tr><td colspan=\"7\" style=\"width:180.55pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt\"><span style=\"font-weight:bold\">Place of incident</span></p></td><td colspan=\"7\" style=\"width:293.95pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt\"><span></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt\"><span></span></p></td><td colspan=\"3\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt\"><span>Machinery spaces</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt\"><span></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt\"><span>Accommodation block</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt\"><span></span></p></td><td colspan=\"2\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt\"><span>Galley</span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt; font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt; font-size:6pt\"><span></span></p></td><td colspan=\"3\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt; font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt; font-size:6pt\"><span></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt; font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt; font-size:6pt\"><span></span></p></td><td colspan=\"2\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt; font-size:6pt\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt\"><span></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt\"><span></span></p></td><td colspan=\"3\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt\"><span>Deck/cargo spaces</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt\"><span></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt\"><span>Gangway/pilot ladder</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt\"><span></span></p></td><td colspan=\"2\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt\"><span>Wharf</span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt; font-size:7pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt; font-size:7pt\"><span></span></p></td><td colspan=\"3\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt; font-size:7pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt; font-size:7pt\"><span></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt; font-size:7pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt; font-size:7pt\"><span></span></p></td><td colspan=\"2\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt; font-size:7pt\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt\"><span></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt\"><span></span></p></td><td colspan=\"3\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt\"><span>Other (specify)</span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt\"><span></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt\"><span></span></p></td><td colspan=\"2\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt\"><span></span></p></td></tr><tr><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt; font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt; font-size:6pt\"><span></span></p></td><td colspan=\"3\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt; font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt; font-size:6pt\"><span></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt; font-size:6pt\"><span></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt; font-size:6pt\"><span></span></p></td><td colspan=\"2\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt; font-size:6pt\"><span></span></p></td></tr><tr><td colspan=\"4\" style=\"width:153.65pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:24pt\"><span>Crew numbers</span></p></td><td colspan=\"6\" style=\"width:156.45pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:24pt\"><span>Passenger numbers</span></p></td><td colspan=\"4\" style=\"width:153.65pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:24pt\"><span>Cargo</span></p></td></tr><tr><td colspan=\"14\" style=\"width:485.3pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:6pt; margin-bottom:6pt\"><span style=\"font-weight:bold\">Part 3 - To be completed if reporting under section 417 of the </span><span style=\"font-weight:bold; font-style:italic\">Navigation Act 1912</span><span style=\"font-weight:bold\"> (Births)</span></p></td></tr><tr><td colspan=\"13\" style=\"width:350.65pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:6pt\"><span>Child's name</span></p></td><td style=\"width:123.85pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:6pt\"><span>Gender</span><br><span>M/F</span></p></td></tr><tr><td colspan=\"3\" style=\"width:123.85pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>Date of birth</span></p></td><td colspan=\"11\" style=\"width:350.65pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:6pt\"><span>Place</span></p></td></tr><tr><td colspan=\"3\" style=\"width:123.85pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>Mother's full name</span></p></td><td colspan=\"11\" style=\"width:350.65pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:6pt\"><span></span></p></td></tr><tr><td colspan=\"9\" style=\"width:293.95pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>Town &amp; country of birth</span></p></td><td colspan=\"5\" style=\"width:180.55pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:6pt\"><span>Australian resident</span><br><span>Yes/No</span></p></td></tr><tr><td colspan=\"9\" style=\"width:293.95pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>Father's full name</span></p></td><td colspan=\"5\" style=\"width:180.55pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:6pt\"><span></span></p></td></tr><tr><td colspan=\"9\" style=\"width:293.95pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span>Town &amp; country of birth</span></p></td><td colspan=\"5\" style=\"width:180.55pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:6pt\"><span>Australian resident</span><br><span>Yes/No</span></p></td></tr><tr style=\"height:0pt\"><td style=\"width:14.2pt\"></td><td style=\"width:17pt\"></td><td style=\"width:103.45pt\"></td><td style=\"width:29.8pt\"></td><td style=\"width:8.5pt\"></td><td style=\"width:17pt\"></td><td style=\"width:1.4pt\"></td><td style=\"width:56.7pt\"></td><td style=\"width:56.7pt\"></td><td style=\"width:26.95pt\"></td><td style=\"width:2.85pt\"></td><td style=\"width:17pt\"></td><td style=\"width:9.9pt\"></td><td style=\"width:134.7pt\"></td></tr></tbody></table>\n```\n\n  \n\n<table cellspacing=\"0\" cellpadding=\"0\" style=\"width:496.15pt; border-collapse:collapse\"><tbody><tr><td colspan=\"17\" style=\"width:485.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt; font-size:12pt\"><span style=\"font-family:'CG Times (W1)', serif; font-size:10pt; font-weight:bold; letter-spacing:-0.3pt\">Part 4 - To be completed if reporting under section 107 of the </span><span style=\"font-family:'CG Times (W1)', serif; font-size:10pt; font-weight:bold; font-style:italic; letter-spacing:-0.3pt\">Occupational Health &amp; Safety (Maritime Industry) Act 1993</span></p></td></tr><tr><td colspan=\"17\" style=\"width:485.35pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:3pt\"><span style=\"font-family:'CG Times', serif\">Name of affected person</span></p></td></tr><tr><td colspan=\"9\" style=\"width:182.85pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span style=\"font-family:'CG Times', serif\">Date of birth</span></p></td><td colspan=\"3\" style=\"width:126.25pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span style=\"font-family:'CG Times', serif\">Gender</span><br><span style=\"font-family:'CG Times', serif\">M/F</span></p></td><td colspan=\"5\" style=\"width:154.65pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\"><span style=\"font-family:'CG Times', serif\">PIN</span></p></td></tr><tr><td colspan=\"17\" style=\"width:485.35pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:12pt\"><span style=\"font-family:'CG Times', serif\">Home address</span></p></td></tr><tr><td colspan=\"4\" style=\"width:123.85pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:6pt\"><span style=\"font-family:'CG Times', serif\">Australian resident</span><br><span style=\"font-family:'CG Times', serif\">Yes / No</span></p></td><td colspan=\"13\" style=\"width:350.7pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:6pt\"><span style=\"font-family:'CG Times', serif\">Town &amp; country of birth</span></p></td></tr><tr style=\"height:3pt\"><td colspan=\"3\" style=\"width:122.45pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif\">Capacity</span></p></td><td colspan=\"2\" style=\"width:6.2pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:94.1pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"4\" style=\"width:91.25pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:94.15pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td></tr><tr style=\"height:3pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:91.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif\">Crew</span></p></td><td colspan=\"2\" style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:94.1pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif\">Contractor</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"4\" style=\"width:91.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif\">Waterside worker</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:94.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif\">Supplier</span></p></td></tr><tr style=\"height:3pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt; font-size:6pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt; font-size:6pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:91.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt; font-size:6pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"2\" style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt; font-size:6pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:94.1pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt; font-size:6pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt; font-size:6pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"4\" style=\"width:91.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt; font-size:6pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt; font-size:6pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:94.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt; font-size:6pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td></tr><tr style=\"height:3pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:91.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif\">Watchkeeper</span></p></td><td colspan=\"2\" style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"12\" style=\"width:335.1pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif\">Other (specify) ……………………………………………………………………………..</span></p></td></tr><tr style=\"height:3pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt; font-size:6pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt; font-size:6pt\"><span style=\"font-family:Symbol, serif; font-weight:bold\"></span></p></td><td style=\"width:91.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt; font-size:6pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"2\" style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt; font-size:6pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:94.1pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt; font-size:6pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt; font-size:6pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"4\" style=\"width:91.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt; font-size:6pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt; font-size:6pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:94.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt; font-size:6pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td></tr><tr style=\"height:3pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt; font-size:9pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"16\" style=\"width:471.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt; font-size:9pt\"><span style=\"font-family:'CG Times', serif\">show watch period:</span><span style=\"font-family:'CG Times', serif\"> </span><span style=\"font-family:'CG Times', serif\">from ……………..to ………………..</span><span style=\"font-family:'CG Times', serif\"> </span><span style=\"font-family:'CG Times', serif\">Time since last rest period ……………………….…</span></p></td></tr><tr style=\"height:3pt\"><td colspan=\"4\" style=\"width:123.85pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif\">Logbook</span><br><span style=\"font-family:'CG Times', serif\">entry date</span></p></td><td colspan=\"13\" style=\"width:350.7pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif\">Rank</span></p></td></tr><tr style=\"height:3pt\"><td colspan=\"6\" style=\"width:154.55pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif\">Hours of duty</span><br><span style=\"width:28.35pt; font-family:'CG Times', serif; display:inline-block\"></span><span style=\"font-family:'CG Times', serif\">Time on:</span></p></td><td colspan=\"6\" style=\"width:154.55pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><br><span style=\"font-family:'CG Times', serif\">Time off:</span></p></td><td colspan=\"5\" style=\"width:154.65pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif\">Hours before duty</span></p></td></tr><tr style=\"height:1.4pt\"><td colspan=\"3\" style=\"width:122.45pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Affected area</span></p></td><td colspan=\"2\" style=\"width:6.2pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:94.1pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"4\" style=\"width:91.25pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border-top:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:94.15pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td></tr><tr style=\"height:1.25pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:91.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Head (1)</span></p></td><td colspan=\"2\" style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:94.1pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Eyes (1)</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"4\" style=\"width:91.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Trunk (3)</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:94.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Arms (4)</span></p></td></tr><tr style=\"height:1.25pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:91.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"2\" style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:94.1pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"4\" style=\"width:91.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:94.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td></tr><tr style=\"height:1.25pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:91.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Hands (4)</span></p></td><td colspan=\"2\" style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:94.1pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Legs (5)</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"4\" style=\"width:91.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Internal (7)</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:94.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Back (3)</span></p></td></tr><tr style=\"height:1.25pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:91.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"2\" style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:94.1pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"4\" style=\"width:91.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:94.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td></tr><tr style=\"height:1.25pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:91.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Neck (2)</span></p></td><td colspan=\"2\" style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:94.1pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Fingers (4)</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"4\" style=\"width:91.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Feet (5)</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:94.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Toes (5)</span></p></td></tr><tr style=\"height:1.25pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:91.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"2\" style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:94.1pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"4\" style=\"width:91.25pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:94.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td></tr><tr style=\"height:1.25pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"15\" style=\"width:454.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Other (specify)</span></p></td></tr><tr style=\"height:1.25pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:91.25pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"2\" style=\"width:6.2pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:94.1pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"4\" style=\"width:91.25pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:94.15pt; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td></tr><tr style=\"height:1.4pt\"><td colspan=\"7\" style=\"width:165pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Type of injury</span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"3\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td></tr><tr style=\"height:1pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Drowning (150)</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Crushing (100)</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"3\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Laceration (060/080)</span></p></td></tr><tr style=\"height:1pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"3\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td></tr><tr style=\"height:1pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Burns &amp; scalds (120)</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Hernia (450)</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"3\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Fracture (020/010)</span></p></td></tr><tr style=\"height:1pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"3\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td></tr><tr style=\"height:1pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Electric shock (150)</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Amputation (070)</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"3\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Foreign Body (110/090)</span></p></td></tr><tr style=\"height:1pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"3\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td></tr><tr style=\"height:1pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Abrasion (090)</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Bruising (100)</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"3\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Asphyxia (110/150/140)</span></p></td></tr><tr style=\"height:1pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"3\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td></tr><tr style=\"height:1pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Strain &amp; sprain (040)</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"9\" style=\"width:292.55pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Other (specify)</span></p></td></tr><tr style=\"height:1pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:133.8pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:130.95pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"3\" style=\"width:133.8pt; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td></tr><tr style=\"height:1.4pt\"><td colspan=\"7\" style=\"width:165pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Result of incident</span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"3\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td></tr><tr style=\"height:1pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Death</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Serious injury</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"3\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Minor injury</span></p></td></tr><tr style=\"height:1pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"3\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td></tr><tr style=\"height:1pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Near miss</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Temporary disability</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"3\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Partial disability</span></p></td></tr><tr style=\"height:1pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"3\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td></tr><tr style=\"height:1pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Permanent disability</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Disappearance</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"3\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Time off work</span></p></td></tr><tr style=\"height:1pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:133.8pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:130.95pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"3\" style=\"width:133.8pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td></tr><tr style=\"height:1pt\"><td style=\"width:3.4pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:133.8pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">None</span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"9\" style=\"width:292.55pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Other (specify)</span></p></td></tr><tr style=\"height:1pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:133.8pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:130.95pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"3\" style=\"width:133.8pt; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td></tr><tr style=\"height:0pt\"><td style=\"width:14.2pt\"></td><td style=\"width:17pt\"></td><td style=\"width:102.05pt\"></td><td style=\"width:1.4pt\"></td><td style=\"width:15.6pt\"></td><td style=\"width:15.1pt\"></td><td style=\"width:10.45pt\"></td><td style=\"width:17pt\"></td><td style=\"width:0.85pt\"></td><td style=\"width:61.5pt\"></td><td style=\"width:17pt\"></td><td style=\"width:58.55pt\"></td><td style=\"width:3.85pt\"></td><td style=\"width:17pt\"></td><td style=\"width:22.65pt\"></td><td style=\"width:17pt\"></td><td style=\"width:104.95pt\"></td></tr></tbody></table>\n```\n\n<table cellspacing=\"0\" cellpadding=\"0\" style=\"width:496.9pt; border-collapse:collapse\"><tbody><tr style=\"height:3pt\"><td colspan=\"7\" style=\"width:485.35pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Incident factors</span></p></td></tr><tr style=\"height:3pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"2\" style=\"width:213.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Machinery and (mainly) fixed plant (1)</span></p></td><td style=\"width:6.2pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"2\" style=\"width:213.2pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Materials and substances (6)</span></p></td></tr><tr style=\"height:3pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:454.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td></tr><tr style=\"height:3pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"2\" style=\"width:213.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Mobile plant and transport (2)</span></p></td><td style=\"width:6.2pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"2\" style=\"width:213.2pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Environmental agencies (7)</span></p></td></tr><tr style=\"height:3pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:454.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td></tr><tr style=\"height:3pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"2\" style=\"width:213.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Powered equipment, tools and appliances (3)</span></p></td><td style=\"width:6.2pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"2\" style=\"width:213.2pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Animal, human and biological agencies (8)</span></p></td></tr><tr style=\"height:3pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:454.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td></tr><tr style=\"height:3pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:454.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Non-powered hand tools, appliances and other equipment (4)</span></p></td></tr><tr style=\"height:3pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:454.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td></tr><tr style=\"height:3pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"2\" style=\"width:213.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Chemicals and chemical products (5)</span></p></td><td style=\"width:6.2pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"2\" style=\"width:213.2pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\">Other and unspecified agencies (9)</span></p></td></tr><tr style=\"height:3pt\"><td style=\"width:3.4pt; border-left:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td style=\"width:6.2pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td><td colspan=\"5\" style=\"width:454.15pt; border-right:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"font-size:11pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td></tr><tr style=\"height:3pt\"><td colspan=\"7\" style=\"width:485.35pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt; margin-bottom:24pt\"><span style=\"font-family:'CG Times', serif\">Cause of injury/illness</span></p></td></tr><tr style=\"height:3pt\"><td colspan=\"3\" style=\"width:237.25pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif\">Date left ship</span></p></td><td colspan=\"4\" style=\"width:237.3pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif\">Expected period</span><br><span style=\"font-family:'CG Times', serif\">of incapacity</span></p></td></tr><tr style=\"height:3pt\"><td colspan=\"3\" style=\"width:237.25pt; border-top:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt; margin-bottom:48pt\"><span style=\"font-family:'CG Times', serif\">Treatment given on board ship</span></p></td><td colspan=\"4\" style=\"width:237.3pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt; margin-bottom:48pt\"><span style=\"font-family:'CG Times', serif\"></span></p></td></tr><tr><td colspan=\"7\" style=\"width:485.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif; font-weight:bold\">Part 5 – Explanation and Description</span><br><span style=\"font-family:'CG Times', serif; font-weight:bold\">State Cause and give names and addresses of any witnesses</span></p></td></tr><tr><td colspan=\"7\" style=\"width:485.35pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:48pt\"><span style=\"font-family:'CG Times', serif; font-weight:bold\"></span></p></td></tr><tr><td colspan=\"7\" style=\"width:485.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif; font-weight:bold\">Part 6 - Incident narrative</span></p></td></tr><tr><td colspan=\"7\" style=\"width:485.35pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:48pt\"><span style=\"font-family:'CG Times', serif; font-weight:bold\"></span></p></td></tr><tr><td colspan=\"7\" style=\"width:485.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif; font-weight:bold\">Part 7 - Action taken to prevent similar occurrences</span></p></td></tr><tr><td colspan=\"7\" style=\"width:485.35pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-bottom:48pt\"><span style=\"font-family:'CG Times', serif; font-weight:bold\"></span></p></td></tr><tr><td colspan=\"7\" style=\"width:485.35pt; padding-right:5.4pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:3pt\"><span style=\"font-family:'CG Times', serif; font-weight:bold\">Part 8 - Details of person completing report</span></p></td></tr><tr><td colspan=\"7\" style=\"width:485.35pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:6pt\"><span style=\"font-family:'CG Times', serif\">Name</span></p></td></tr><tr><td colspan=\"3\" style=\"width:237.25pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:6pt\"><span style=\"font-family:'CG Times', serif\">Position</span></p></td><td colspan=\"4\" style=\"width:237.3pt; border:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:6pt\"><span style=\"font-family:'CG Times', serif\">Contact number</span></p></td></tr><tr><td colspan=\"6\" style=\"width:379pt; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.4pt; padding-left:5.03pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:6pt\"><span style=\"font-family:'CG Times', serif\">Signature</span></p></td><td style=\"width:95.55pt; border-right:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:5.03pt; padding-left:5.4pt; vertical-align:top\"><p class=\"FootnoteText\" style=\"margin-top:6pt\"><span style=\"font-family:'CG Times', serif\">Date</span><span style=\"width:9.47pt; font-family:'CG Times', serif; display:inline-block\"> </span><span style=\"font-family:'CG Times', serif\">/</span><span style=\"width:17.07pt; font-family:'CG Times', serif; display:inline-block\"> </span><span style=\"font-family:'CG Times', serif\">/</span></p></td></tr><tr style=\"height:0pt\"><td style=\"width:14.2pt\"></td><td style=\"width:17pt\"></td><td style=\"width:216.85pt\"></td><td style=\"width:7.1pt\"></td><td style=\"width:17pt\"></td><td style=\"width:117.65pt\"></td><td style=\"width:106.35pt\"></td></tr></tbody></table>\n```\n\n  \n\n| Form MO-31/16 |\n\nPASSENGER CERTIFICATE\n\nThis Certificate must be attached to the Passenger Ship Safety Certificate or  \nCertificate of Survey for a Passenger Ship\n\nThis certificate is issued under the authority of the Government of Australia  \nby the  \nAustralian Maritime Safety Authority\n\n| Name of Ship                   | Owner or agent |                            |\n| ------------------------------ | -------------- | -------------------------- |\n| Number and class of passengers | Number of crew | Total, passengers and crew |\n\nThis is to certify that:\n\n1. the provisions of the Navigation Act 1912 relating to the survey of ships for the carriage of passengers have been complied with;\n\n2. the ship is fit to ply on an overseas voyage; and\n\n3. the ship is fit to carry, if there is no encumbrance of passengers’ or crew’s quarters, the numbers of passengers and crew shown above.\n\nThis certificate remains in force until …………………………………………….., subject to the Passenger Ship Safety Certificate or Certificate of Survey for a Passenger Ship remaining in force.\n\nIssued at ..............................................................................................................  \n(Place of issue)\n\n| ..............................................(Date of issue) | ..........................................................(Signature of officer authorised to issue the certificate) |\n| ------------------------------------------------------------- | -------------------------------------------------------------------------------------------------------------------- |\n|                                                               |                                                                                                                      |","sortOrder":4}],"analysis":{"kimi_summary":{"_metrics":{"model":"kimi-k2.5","source":"moonshot-realtime","completionTokens":2598},"content_quality":"ok","complexity_score":5,"scope_assessment":{"changed":false,"description":"This content represents the schedules/forms section of Marine Order 31, containing the templates for certificates and reports. The scope remains focused on vessel survey, certification, and incident reporting without evidence of expansion beyond the original maritime safety administration purpose."},"complexity_factors":["Technical maritime equipment terminology (EPIRB, SART, ECDIS, AIS-SART, INMARSAT)","Prescriptive multi-part forms with conditional sections (different parts for injuries vs. gear failure vs. dangerous goods)","Cross-references to Navigation Act 1912, USL Code, and international maritime conventions","Medical coding systems for body parts (head=1, eyes=1, trunk=3, arms=4) and injury types (drowning=150, crushing=100, laceration=060)","Detailed equipment specifications requiring vessel-specific data (stability booklets, radio frequencies, lifeboat capacity)"],"plain_english_summary":"Marine Order 31 prescribes the mandatory forms used to certify Australian ships as safe and seaworthy, covering vessel surveys, exemptions, alterations and incident reporting. It binds ship masters, owners, surveyors and operators (including fishing and passenger vessels) to provide legal proof of compliance with the Navigation Act and safety standards. Valid certificates are required for lawful operation and failures or non‑reporting can incur penalties."},"flash_summary":{"complexity_score":4,"scope_assessment":{"changed":false,"description":"The instrument is procedural: it sets required templates and the content of documentary evidence for surveys, equipment records, exemptions and incident reporting. It does not, on its face, expand or narrow the statutory powers or the substantive obligations in the Navigation Act; it standardises how those existing obligations are recorded and evidenced."},"complexity_factors":["Large number of distinct prescribed forms (certificates, equipment records, exemption, notices, incident alert/report, passenger certificate).","Detailed, structured data fields that create record‑keeping and administrative burden for owners/operators and masters.","Cross-references to the Navigation Act, Marine Orders and other instruments (e.g. USL Code, IAMSAR, IOPP) requiring interpretive steps.","Multiple endorsement and extension mechanisms (authorised official signatures, periodical survey entries) that create conditional validity and timing rules.","Compliance hinges on documentary accuracy rather than novel substantive rules, shifting risk to administrative implementation and inspection processes."],"plain_english_summary":"**What it does:** Prescribes the standard forms and certificates used under the Navigation Act for ship surveys and certification — e.g. Certificate of Survey, Record of Equipment, Exemption Certificate, alteration notices, incident alert/report and Passenger Certificate — and the endorsements and periodic-survey entries that must appear on them. \n\nWho it affects and why it matters: Ship owners/operators, masters, classification societies and AMSA officials must complete, issue and retain these documents to show legal survey status, record safety equipment and meet incident‑reporting and exemption procedures."}},"importantCases":[],"_links":{"self":"/api/acts/marine-order-31-issue-6","history":"/api/acts/marine-order-31-issue-6/history","analysis":"/api/acts/marine-order-31-issue-6/analysis","conflicts":"/api/acts/marine-order-31-issue-6/conflicts","importantCases":"/api/acts/marine-order-31-issue-6/important-cases","documents":"/api/acts/marine-order-31-issue-6/documents"}}